Individual
MISS MONIQUE MARIE COLLEEN PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
32 WEBSTER ST, MANCHESTER, NH 03104-2544
(603) 370-7692
Mailing address
PO BOX 5, CHESTER, NH 03036-0005
(603) 370-7692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW 217325
MA
104100000X
Social Worker
MC14416
ME
1041C0700X
Clinical Social Worker
Primary
1931
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435407000
—
NH
01
—
E400228686
MEDICARE
NH
Enumeration date
08/21/2011
Last updated
04/25/2016
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